| NPI | 1639550452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 2020-03351) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME175388) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 2020-03351) | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2025-07-18 |